Design of a marker-based human motion tracking system

In this paper a complete design of a high speed optical motion analyzer system has been described. The main core of the image processing unit has been implemented by the differential algorithm procedure. Some intelligent and conservative procedures that facilitate the search algorithm have also been proposed and implemented for the processing of human motions. Moreover, an optimized modified direct linear transformation (MDLT) method has been used to reconstruct 3D markers positions which are used for deriving kinematic characteristics of the motion. Consequently, a set of complete tests using some simple mechanical devices were conducted to verify the system outputs. Considering the system verification for human motion analysis, we used the system for gait analysis and the results including joint angles showed good compatibility with other investigations. Furthermore, a sport application example of the system has been quantitatively presented and discussed for Iranian National Karate-kas. The low computational cost, the high precision in detecting and reconstructing marker position with 2.39 mm error, and the capability of capturing from any number of cameras to increase the domain of operation of the subject, has made the proposed method a reliable approach for real-time human motion analysis. No special environment limitation, portability, low cost hardware and built in units for simulations and kinematic analysis are the other significant specifications of this system.     

指掌骨骨折合并软组织损伤的微型锁定钢板皮外固定应用效果及对关节活动度的影响

摘要 目的：探讨指掌骨骨折合并软组织损伤的微型锁定钢板皮外固定的应用效果及对关节活动度的影响。方法：选取我院2015年7月到2020年7月共收治的80例指掌骨骨折合并软组织损伤的患者作为研究对象,将其随机分为观察组与对照组,各40例。对照组应用克氏针、微型螺钉、肌腱缝线或拉力螺钉进行内固定,观察组在对照组基础上联合应用微型锁定钢板皮外固定,并针对患者合并软组织损伤情况应用石膏外固定。对比两组患者的骨折愈合时间、围术期指标、Jamar握力、TAM、DASH评分、术后不良反应情况以及生活质量。结果：观察组手术时间高于对照组,骨折愈合时间和住院时间较对照组低（P＜0.05）;观察组患者的DASH评分明显低于对照组,TAM与Jamar握力明显高于对照组（P＜0.05）;观察组术后并发症发生率较对照组低（P＜0.05）;术后1个月两组患者生活质量评分均升高,高于对照组（P＜0.05）。结论：对指掌骨骨折合并软组织损伤的患者在常规克氏针内固定的基础上,应用微型锁定钢板皮外固定,再进行石膏固定,手术步骤、手术时间虽增加,但更有利于患者术后骨折愈合,减少术后并发症的发生,减少住院时间,促进患者出院后关节功能恢复,提高生活质量,值得临床应用推广。     

Full-body motion assessment: Concurrent validation of two body tracking depth sensors versus a gold standard system during gait

RGB-D cameras provide 3-D body joint data in a low-cost, portable and non-intrusive way, when compared with reference motion capture systems used in laboratory settings. In this contribution, we evaluate the validity of both Microsoft Kinect versions (v1 and v2) for motion analysis against a Qualisys system in a simultaneous protocol. Two different walking directions in relation to the Kinect (towards – WT, and away – WA) were explored. For each gait trial, measures related with all body parts were computed: velocity of all joints, distance between symmetrical joints, and angle at some joints. For each measure, we compared each Kinect version and Qualisys by obtaining the mean true error and mean absolute error, Pearson’s correlation coefficient, and optical-to-depth ratio. Although both Kinect v1 and v2 and/or WT and WA data present similar accuracy for some measures, better results were achieved, overall, when using WT data provided by the Kinect v2, especially for velocity measures. Moreover, the velocity and distance presented better results than angle measures. Our results show that both Kinect versions can be an alternative to more expensive systems such as Qualisys, for obtaining distance and velocity measures as well as some angles metrics (namely the knee angles). This conclusion is important towards the off-lab non-intrusive assessment of motor function in different areas, including sports and healthcare.     

Optimization of compressive loading parameters to mimic in vivo cervical spine kinematics in vitro

The human cervical spine supports substantial compressive load in vivo. However, the traditional in vitro testing methods rarely include compressive loads, especially in investigations of multi-segment cervical spine constructs. Previously, a systematic comparison was performed between the standard pure moment with no compressive loading and published compressive loading techniques (follower load – FL, axial load – AL, and combined load – CL). The systematic comparison was structured a priori using a statistical design of experiments and the desirability function approach, which was chosen based on the goal of determining the optimal compressive loading parameters necessary to mimic the segmental contribution patterns exhibited in vivo. The optimized set of compressive loading parameters resulted in in vitro segmental rotations that were within one standard deviation and 10% of average percent error of the in vivo mean throughout the entire motion path. As hypothesized, the values for the optimized independent variables of FL and AL varied dynamically throughout the motion path. FL was not necessary at the extremes of the flexion–extension (FE) motion path but peaked through the neutral position, whereas, a large negative value of AL was necessary in extension and increased linearly to a large positive value in flexion. Although further validation is required, the long-term goal is to develop a “physiologic” in vitro testing method, which will be valuable for evaluating adjacent segment effect following spinal fusion surgery, disc arthroplasty instrumentation testing and design, as well as mechanobiology experiments where correct kinematics and arthrokinematics are critical.     

Stance and swing phase knee flexion recover at different rates following total knee arthroplasty: An inertial measurement unit study

Total knee arthroplasty (TKA) is the most common joint replacement in the United States. Range of motion (ROM) monitoring includes idealized clinic measures (e.g. goniometry during passive ROM) that may not accurately represent knee function. Accordingly, a novel, portable, inertial measurement unit (IMU) based ROM measurement method was developed, validated, and implemented. Knee flexion was computed via relative motion between two IMUs and validated via optical motion capture (p > 0.05). Prospective analyses of 10 healthy individuals (5M, 50 ± 19 years) and 20 patients undergoing TKA (3 lost to follow up, 10M, 65 ± 6 years) were completed. Controls wore IMUs for 1-week. Patients wore IMUs for 1-week pre-TKA, 6-weeks immediately post-TKA, and 1-week at 1-year post-TKA. Flexion was computed continuously each day (8–12 h). Metrics included daily maximum flexion and flexion during stance/swing phases of gait. Maximum flexion was equal between cohorts at all time points. Contrastingly, patient stance and swing flexion were reduced pre-TKA, yet improved post-TKA. Specifically, patient stance and swing flexion were reduced below control/pre-TKA values during post-TKA week 1. Stance flexion exceeded pre-TKA and equaled control levels after week 2. However, swing flexion only exceeded pre-TKA and equaled control levels at 1-year post-TKA. This novel method improves upon the accuracy/portability of current methods (e.g. goniometry). Interestingly, surgery did not impact maximum ROM, yet improved the ability to flex during gait allowing more efficient and safe ambulation. This is the first study continuously monitoring long-term flexion before/after TKA. The results offer richer information than clinical measures about expected TKA rehabilitation.     

Swimming performance is reduced by reflective markers intended for the analysis of swimming kinematics

The present study aimed to clarify whether swimming performance is affected by reflective markers being attached to the swimmer’s body, as is required for a kinematic analysis of swimming. Fourteen well-trained male swimmers (21.1 ± 1.7 yrs) performed maximal 50 m front crawl swimming with (W) and without (WO) 25 reflective markers attached to their skin and swimwear. This number represents the minimum required to estimate the body’s center of mass. Fifty meter swimming time, mid-pool swimming velocity, stroke rate, and stroke length were determined using video analysis. We found swimming time to be 3.9 ± 1.6% longer for W condition. Swimming velocity (3.3 ± 1.8%), stroke rate (1.2 ± 2.0%), and stroke length (2.1 ± 2.7%) were also significantly lower for W condition. To elucidate whether the observed reduction in performance was potentially owing to an additional drag force induced by the reflective markers, measured swimming velocity under W condition was compared to a predicted velocity that was calculated based on swimming velocity obtained under WO condition and an estimate of the additional drag force induced by the reflective markers. The mean prediction error and ICC (2,1) for this analysis of measured and predicted velocities was 0.014 m s⁻¹ and 0.894, respectively. Reducing the drag force term led to a decrease in the degree of agreement between the velocities. Together, these results suggest that the reduction in swimming performance resulted, at least in part, from an additional drag force produced by the reflective markers.     

Validation of magneto-inertial measuring units for measuring hip joint angles

Camera-based motion capture systems are the current gold standard for motion analysis. However, the use of wireless inertial sensor-based systems is increasing in popularity, largely due to convenient portability. The purpose of this study was to validate the use of wireless inertial sensors for measuring hip joint motion with a functional calibration requiring only one motion (walking) and neutral standing. Data were concurrently collected using a 10-camera motion capture system and a wireless inertial sensor-based system. Hip joint angles were measured for 10 participants during walking, jumping jack, and bilateral squat tasks and for a subset (n = 5) a jump turn task. Camera-based system hip joint angles were calculated from retro-reflective marker positions and sensor-based system angles were calculated in MATLAB using the sensor output quaternions. Most hip joint angles measured with the sensor-based system were within 6° of angles measured with the camera motion capture system. Accurate measurement of motion outside of a laboratory setting has broad implications for diagnosing movement abnormalities, monitoring sports performance, and assessing rehabilitation progress.     

Effect of laterality discrimination on joint position sense and cervical range of motion in patients with chronic neck pain: a randomized single-blind clinical trial

Purpose: The main objective of the present study was to evaluate the effects of laterality discrimination training on neck joint position sense and cervical range of motion (ROM) in patients with chronic non-specific neck pain (NSCNP).

Materials and methods: Forty-eight patients with NSCNP were randomly assigned to the neck group (NG) that observed neck images or the foot group (FG) that observed foot images. Response time, response accuracy, cervical ROM, and joint position error (JPE) were the main variables. The secondary outcome measures included psychosocial variables.

Results: Differences between groups in the cervical ROM for flexion (p?=?.043) were obtained, being NG group the one which obtained greater values. NG showed an improvement in right rotation (p?=?.018) and a decrease in flexion was found in the FG (p?=?.039). In JPE, differences between groups were obtained in the left rotation (p?=?.021) and significant changes were found in the NG for flexion, extension, and left rotation movements (p?<?.05). Moderate associations were found between left and right accuracy regarding to post-intervention flexion and right rotation (r?=?0.46, r?=?0.41; p?<?.05) in NG.

Conclusion: Improvements in cervical range of motion and joint position sense are obtained after the performance of the laterality discrimination task of images of the neck but not the feet. Visualization of images of the painful region presents moderate correlations with the accuracy and response time in the movements of flexion and right rotation.     

Insight derived from molecular dynamics simulation into dynamics and molecular motions of cuticle-degrading serine protease Ver112

Cuticle-degrading serine protease Ver112, which derived from a nematophagous fungus Lecanicillium psalliotae, has been exhibited to have high cuticle-degrading and nematicidal activities. We have performed molecular dynamics (MD) simulation based on the crystal structure of Ver112 to investigate its dynamic properties and large-scale concerted motions. The results indicate that the structural core of Ver112 shows a small fluctuation amplitude, whereas the substrate binding sites, and the regions close to and opposite the substrate binding sites experience significant conformational fluctuations. The large concerted motions obtained from essential dynamics (ED) analysis of MD trajectory can lead to open or close of the substrate binding sites, which are proposed to be linked to the functional properties of Ver112, such as substrate binding, orientation, catalytic, and release. The significant motion in the loop regions that is located opposite the binding sites are considered to play an important role in modulating the dynamics of the substrate binding sites. Furthermore, the bottom of free energy landscape (FEL) of Ver112 are rugged, which is mainly caused by the fluctuations of substrate binding regions and loops located opposite the binding site. In addition, the mechanism underlying the high flexibility and catalytic activity of Ver112 was also discussed. Our simulation study complements the biochemical and structural studies, and provides insight into the dynamics-function relationship of cuticle-degrading serine protease Ver112.     

Electrostatic interactions determine entrance/release order of substrates in the catalytic cycle of adenylate kinase

Adenylate kinase is a monomeric phosphotransferase with important biological function in regulating concentration of adenosine triphosphate (ATP) in cells, by transferring the terminal phosphate group from ATP to adenosine monophosphate (AMP) and forming two adenosine diphosphate (ADP) molecules. During this reaction, the kinase may undergo a large conformational transition, forming different states with its substrates. Although many structures of the protein are available, atomic details of the whole process remain unclear. In this article, we use both conventional molecular dynamics (MD) simulation and an enhanced sampling technique called parallel cascade selection MD simulation to explore different conformational states of the Escherichia coli adenylate kinase. Based on the simulation results, we propose a possible entrance/release order of substrates during the catalytic cycle. The substrate-free protein prefers an open conformation, but changes to a closed state once ATP·Mg enters into its binding pocket first and then AMP does. After the reaction of ATP transferring the terminal phosphate group to AMP, ADP·Mg and ADP are released sequentially, and finally the whole catalyze cycle is completed. Detailed contact and distance analysis reveals that the entrance/release order of substrates may be largely controlled by electrostatic interactions between the protein and the substrates.